High return to sports rates after operative treatment of patella fractures.
Fracture
Functional outcome
ORIF
Patella
Return to sports
Journal
European journal of medical research
ISSN: 2047-783X
Titre abrégé: Eur J Med Res
Pays: England
ID NLM: 9517857
Informations de publication
Date de publication:
22 Sep 2023
22 Sep 2023
Historique:
received:
30
01
2023
accepted:
10
09
2023
medline:
25
9
2023
pubmed:
22
9
2023
entrez:
22
9
2023
Statut:
epublish
Résumé
Patella fractures are relatively rare fractures and only little is known about the postoperative return to sports after patella fractures. This retrospective study presents information on functional outcome after operative treatment of patella fractures as well as time until return to sports and patients' complaints after open-reduction internal-fixation (ORIF) of patella fractures. Overall, 39 patients after ORIF of patella fractures were evaluated at our Level-I trauma center with a mean follow-up of 42 months. The mean time until return to sports was 7 ± 3.9 months. No significant difference was found for functional outcome with respect to body mass index (BMI) or age. Fracture consolidation was accomplished after a mean of 6.9 ± 2.9 months besides a relatively low complication rate of 5.1% (n = 2). The results demonstrate a high return to sports rate of 90.3%. However, only 51.6% were able to perform sports on their pre-injury level or above. Trial Registration The study was retrospectively registered at DRKS (No: DRKS00031146).
Sections du résumé
BACKGROUND
BACKGROUND
Patella fractures are relatively rare fractures and only little is known about the postoperative return to sports after patella fractures.
METHODS
METHODS
This retrospective study presents information on functional outcome after operative treatment of patella fractures as well as time until return to sports and patients' complaints after open-reduction internal-fixation (ORIF) of patella fractures.
RESULTS
RESULTS
Overall, 39 patients after ORIF of patella fractures were evaluated at our Level-I trauma center with a mean follow-up of 42 months. The mean time until return to sports was 7 ± 3.9 months. No significant difference was found for functional outcome with respect to body mass index (BMI) or age. Fracture consolidation was accomplished after a mean of 6.9 ± 2.9 months besides a relatively low complication rate of 5.1% (n = 2).
CONCLUSION
CONCLUSIONS
The results demonstrate a high return to sports rate of 90.3%. However, only 51.6% were able to perform sports on their pre-injury level or above. Trial Registration The study was retrospectively registered at DRKS (No: DRKS00031146).
Identifiants
pubmed: 37736742
doi: 10.1186/s40001-023-01359-1
pii: 10.1186/s40001-023-01359-1
pmc: PMC10514948
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
366Informations de copyright
© 2023. BioMed Central Ltd., part of Springer Nature.
Références
Lotke PA, Ecker ML. Transverse fractures of the patella. Clin Orthop Relat Res. 1981;158:180–4.
doi: 10.1097/00003086-198107000-00026
Sayum Filho J, et al. Interventions for treating fractures of the patella in adults. Cochrane Database Syst Rev. 2021;2:CD009651.
pubmed: 33625743
Berninger MT, Frosch K-H. Change in the treatment of patellar fractures. Der Unfallchirurg. 2022;125(7):518–26.
Raja BS. et al. Plate osteosynthesis in patellar fractures: a systematic review and meta-analysis. Eur J Orthop Surg Traumatol. 2021;1–14.
Gwinner C, et al. Current concepts review: Fractures of the patella. GMS Interdiscip Plast Reconstr Surg DGPW. 2016;5:Doc01.
pubmed: 26816667
pmcid: 4717300
Sayum Filho J, et al. Interventions for treating fractures of the patella in adults. Cochrane Database Syst Rev. 2021. https://doi.org/10.1002/14651858.CD009651.pub3 .
doi: 10.1002/14651858.CD009651.pub3
pubmed: 33625743
pmcid: 8095054
Lazaro LE, et al. Effect of computerized tomography on classification and treatment plan for patellar fractures. J Orthop Trauma. 2013;27(6):336–44.
doi: 10.1097/BOT.0b013e318270dfe7
pubmed: 22955333
Fehske K, et al. Aktueller Versorgungsstandard von Patellafrakturen in Deutschland. Unfallchirurg. 2021;124(10):832–8.
doi: 10.1007/s00113-020-00939-8
pubmed: 33331976
Gao F, et al. 3D reduction combined with the modified Kirschner-wire tension band for the treatment of comminuted patella fracture. Arch Orthop Trauma Surg. 2022. https://doi.org/10.1007/s00402-022-04400-w .
doi: 10.1007/s00402-022-04400-w
pubmed: 35907003
Pesch S, et al. Patellafrakturen. Unfallchirurg. 2019;122(3):225–37.
doi: 10.1007/s00113-019-0611-2
pubmed: 30783710
Chloros GD, et al. What’s new in the management of patella fractures? Injury. 2022;53(6):1730–6.
doi: 10.1016/j.injury.2022.03.035
pubmed: 35643733
Lazaro LE, et al. Outcomes after operative fixation of complete articular patellar fractures: assessment of functional impairment. JBJS. 2013;95(14):e96.
doi: 10.2106/JBJS.L.00012
LeBrun CT, Langford JR, Sagi HC. Functional outcomes after operatively treated patella fractures. J Orthop Trauma. 2012;26(7):422–6.
doi: 10.1097/BOT.0b013e318228c1a1
pubmed: 22183197
Greenberg A, et al. Functional outcomes after removal of hardware in patellar fracture: are we helping our patients? Arch Orthop Trauma Surg. 2018;138(3):325–30.
doi: 10.1007/s00402-017-2852-2
pubmed: 29185046
Beirer M, et al. The Munich knee questionnaire: development and validation of a new patient-reported outcome measurement tool for knee disorders. Arthroscopy. 2015;31(8):1522–9.
doi: 10.1016/j.arthro.2015.02.026
pubmed: 25882181
Lampros RE, Wiater AL, Tanaka MJ. Rehabilitation and return to sport after medial patellofemoral complex reconstruction. Arthrosc Sports Med Rehabil. 2022;4(1):e133–40.
doi: 10.1016/j.asmr.2021.09.030
pubmed: 35141545
pmcid: 8811515
Boublik M, et al. Quadriceps tendon injuries in national football league players. Am J Sports Med. 2013;41(8):1841–6.
doi: 10.1177/0363546513490655
pubmed: 23735426
Beranger J-S, et al. Return to sport after early surgical repair of acute patellar tendon ruptures. Orthop Traumatol Surg Res. 2020;106(3):503–7.
doi: 10.1016/j.otsr.2020.01.010
pubmed: 32179020
Haskel JD, et al. High rates of return to play and work follow knee extensor tendon ruptures but low rate of return to pre-injury level of play. Knee Surg Sports Traumatol Arthrosc. 2021;29(8):2695–700.
doi: 10.1007/s00167-021-06537-4
pubmed: 33760963
Patel S, et al. Patellar fracture among elite-level European soccer players: 4-year case-control cohort analysis of return to play, re-injury, and player performance. Phys Sportsmed. 2022. https://doi.org/10.1080/00913847.2022.2077087 .
doi: 10.1080/00913847.2022.2077087
pubmed: 35587816
Grondin J, et al. Return to sport after patellar tendon rupture: a systematic review. Muscles Ligaments Tendons J (MLTJ). 2019. https://doi.org/10.32098/mltj.04.2019.05 .
doi: 10.32098/mltj.04.2019.05
Irrgang JJ, et al. Development and validation of the international knee documentation committee subjective knee form. Am J Sports Med. 2001;29(5):600–13.
doi: 10.1177/03635465010290051301
pubmed: 11573919
Roos EM, et al. Knee injury and osteoarthritis outcome score (KOOS)—development of a self-administered outcome measure. J Orthop Sports Phys Ther. 1998;28(2):88–96.
doi: 10.2519/jospt.1998.28.2.88
pubmed: 9699158
Kirkley A, Griffin S, Whelan D. The development and validation of a quality of life-measurement tool for patients with meniscal pathology: the western Ontario meniscal evaluation tool (WOMET). Clin J Sport Med. 2007;17(5):349–56.
doi: 10.1097/JSM.0b013e31814c3e15
pubmed: 17873546
Lysholm J, Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. Am J Sports Med. 1982;10(3):150–4.
doi: 10.1177/036354658201000306
pubmed: 6896798
Jang JH, Rhee SJ, Kim JW. Hook plating in patella fractures. Injury. 2019;50(11):2084–8.
doi: 10.1016/j.injury.2019.08.018
pubmed: 31445832
Yao C, et al. Clinical outcomes of Ti-Ni shape-memory patella concentrator combined with cannulated compression screws in the treatment of C2 and C3 patella fracture: a retrospective study of 54 cases. BMC Musculoskelet Disord. 2020;21(1):506.
doi: 10.1186/s12891-020-03536-3
pubmed: 32736553
pmcid: 7395425
Moore TB, et al. Fixed angle plate fixation of comminuted patellar fractures. Injury. 2018;49(6):1203–7.
doi: 10.1016/j.injury.2018.03.030
pubmed: 29609972
Wurm S, Buhren V, Augat P. Treating patella fractures with a locking patella plate—first clinical results. Injury. 2018;49(Suppl 1):S51–5.
doi: 10.1016/S0020-1383(18)30304-8
pubmed: 29929694
Buschbeck S, et al. Comminuted AO-C3 fractures of the patella: good outcome using anatomically contoured locking plate fixation. Int Orthop. 2022;46(6):1395–403.
doi: 10.1007/s00264-022-05374-5
pubmed: 35348834
Smith ST, et al. Early complications in the operative treatment of patella fractures. J Orthop Trauma. 1997;11(3):183–7.
doi: 10.1097/00005131-199704000-00008
pubmed: 9181501
Wild M, et al. Treating patella fractures with a fixed-angle patella plate-A prospective observational study. Injury. 2016;47(8):1737–43.
doi: 10.1016/j.injury.2016.06.018
pubmed: 27354301
Singh S, et al. Outcome analysis of fixed angle locking plate in patella fractures: a single centre experience from north India. Indian J Orthop. 2021;55(3):655–61.
doi: 10.1007/s43465-020-00302-4
pubmed: 33995869
Ellwein A, et al. Outcomes after locked plating of displaced patella fractures: a prospective case series. Int Orthop. 2019;43(12):2807–15.
doi: 10.1007/s00264-019-04337-7
pubmed: 31041522
Tengler MB, et al. Anterior locking plate osteosynthesis of patellar factures—analysis of complications and functional outcome. Z Orthop Unfall. 2022;160(05):549–58.
doi: 10.1055/a-1403-3681
pubmed: 33873227
Kruse M, et al. Epidemiology, classification and treatment of patella fractures: an observational study of 3194 fractures from the Swedish Fracture Register. Eur J Trauma Emerg Surg. 2022. https://doi.org/10.1007/s00068-022-01993-0 .
doi: 10.1007/s00068-022-01993-0
pubmed: 35644894
pmcid: 9712342